Case History
An 84 year old gentleman with no significant past medical history was
referred by his General Practitioner to the Emergency Department with a
2 day history of pain in a longstanding right inguinoscrotal swelling.
It was noted that he had also had difficulty passing urine for the
previous forty-eight hours. On examination his abdomen was soft and not
tender, and in particular there was no palpable bladder suprapubically.
He had a large right inguinoscrotal hernia which contained a large,
tender, firm mass.